| NPI | 1447712799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01088026A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 101565) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-04-01 |